Pre-Site Visit Checklist

Demonstration and Evaluation of Community College Interventions for Youth and Young Adults with Disabilities

PTC Leadership Pre-Interview Checklist 12-15-15

Pre-Site Visit Checklist

OMB: 1230-0009

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LEADERSHIP


Grant Leadership

Pre-Interview Checklist



For OPC/UPEP


Thank you for agreeing to participate in an interview for the [OPC/UPEP] program. As you know, this project is being sponsored by the U.S. Department of Labor. My name is Douglas Klayman and I work for a company called Social Dynamics, an independent research firm located in Gaithersburg, Maryland. Social Dynamics is acting as subcontractor to Westat, an independent research firm in Rockville, Maryland who is contracted by the Department of Labor to conduct these interviews as part of a larger assessment of the Pathways to Careers Community College Project. I will be conducting an interview with you Month/Day/Year.


The purpose of this Pre-Interview Checklist is to collect information on the key components of [OPC/UPEP], as well as the community college offices and the state, local and community based agencies you collaborate with through [OPC/UPEP], to make efficient use of our time during your in-person interview


Our goals are to learn more about your role in the initiative, the goals of the program, collaboration among stakeholders, and the services that are provided to the students in the program. Once you have completed this checklist, we will follow-up with you to collect more detailed information during your in-person interview scheduled for Month/Day/Year time.


Should you have any questions about this Pre-Interview Checklist, please contact me at 855-990-1105 x105.


Douglas Klayman, Ph.D.






I. In your opinion, under the following four headers, indicate the top three most important components of the [OPC/UPEP] program? (i.e. place a 1, 2, or 3 in the right hand column)

1, 2, 3

Programmatic Service


Work-Based Learning Experiences (e.g. job shadowing, internships, on the job training)


Soft-Skills Training


"Guideposts for Success”


Compressed Career Pathways Training Opportunities


Universal Design Principles


Student Leadership and Engagement


Sequencing of Academic and Career Vocational Topics So Students do not Duplicate Coursework


Group and/or Individual Discovery


Connections Between Secondary, Post-Secondary, and Community


Transition support activities from Secondary to Post-Secondary School


Formal agreements between secondary schools and the Community College that allow students to earn postsecondary credit while in secondary school?


Communication with Secondary School Personnel (e.g. Special Education Staff, Transition Staff)


Individualized Alignment of Community College and Community Supports


Concurrent Enrollment & Secondary School Outreach


Corporate & Public Partnerships


Integrated Resource Team (IRT) approach to integrate resources and services, blend and braid funds, and leverage resources across multiple service delivery systems


Personalized Individual Supports


Monitoring Progress of Participating Students


Student Self-Advocacy and Self-Efficacy Training or Support


Individualized Career Planning (e.g. Individualized Learning Plans, exploring vocational options, career counseling, assessing existing occupational skills, training needs)


Staff person, at the local level, with workplace and disability experience and expertise


Diversity Services 


Learning Center/Academic Support Center


Classroom Accommodations


Financial Aid Assistance and Counseling


Transition to Employment


Use of Ticket to Work Employment Networks


Stacked and Latticed Credentials


Economic and Workforce Development


Customized employment


Social Security Administration's (SSA) Ticket to Work Program




II. With regard to the following offices, check off which two (2) you think will have the most impact on students with disabilities in the [OPC/UPEP] program during the grant period?

Continuing and Extended Learning


Educational Opportunity Program 


Information Technology 


Disability Services Office


Diversity Services 


Learning Center/Academic Support Center


Classroom Accommodations


Financial Aid Assistance and Counseling




III. Please identify up to four state industry organizations, business associations, or local employers who were/are the most directly involved in the design of the [OPC/UPEP] program and/or work-based learning opportunities?


a.


b.


c.


d.




IV. Which, if any of the following programs/services are available through state industry organizations, business associations, local employers? (Check all that apply)

On-the-job training


Summer youth employment


Registered Apprenticeships


Internships


Other paid and unpaid work experiences




V. Which, if any, of the following employment and related organizations have you partnered with to help with the development of the program? (Check all that apply)

Workforce Investment Boards (WIBs)


American Job Centers


Postsecondary Vocational Education


Vocational Rehabilitation


Trade Adjustment Assistance


Veterans Employment and Training Programs


Community Services Block Grant


Employment and training activities by the Department of Housing and Urban Development


Unemployment Insurance


Job Corps


Bureau of Apprenticeship and Training


Temporary Assistance for Needy Families (TANF) (WIOA mandated)


Career & Technical Education (WIOA mandated)


Supplemental Nutrition and Assistance Program (SNAP) (WIOA mandated)


Employment and Training (E&T) (WIOA mandated)


Second Chance Act Programs (WIOA mandated)




VI. Which, if any, of the following wraparound support services are being offered through [OPC/ UPEP] Program? (Check all that apply)

Child Care


Transportation


Case Management


College Adjustment and Retention Services


Financial Aid


Academic and Career Counseling


Employment Assistance


Job coaching


Social support


Financial literacy training


Financial capability counseling


Drop-out prevention services,


Life skills




VII. Partnerships and Collaborations


Which, if any, of the following collaborative relationships or partnerships are in place to support the initiative’s primary purpose of making the existing career pathways system accessible, inclusive and accommodating of people with disabilities? (Check all that apply)


Workforce Agencies, Business and other Community Stakeholders


Workforce Investment Board(s) and local job centers


Secondary Education staff


Adult Basic Education providers


TANF providers and Human Service agencies


Economic Development agencies


Business/Employer representative(s)


Vocational Rehabilitation specialists


Other community-based organizations


State Agencies


Human Services


Economic Development


Adult Basic and Postsecondary Education


Rehabilitation


State DOL


Corrections/Juvenile Justice


Mental Health


Intellectual/DD


Other Stakeholders/Services


Medicaid


Social Security/Ticket to Work Employment Networks


Transportation


Housing


Registered apprenticeship programs


Asset development entities


Carl D. Perkins Act providers


Career and Technical Education (CTE) providers




VIII. Which, if any, of the following collaborative relationships or partnerships have or are being put into place? (Check all that apply)

Secondary Level


Local education agencies


High schools


Career Academies


Secondary Career & Technical Education Programs


Alternative high schools


Job Corps


Youth Build


Workforce Agencies, Business and other Community Stakeholders


Workforce Investment Board(s) and local job centers


Secondary Education staff


Economic Development agencies


Business/Employer representative(s)


Vocational Rehabilitation specialists


Other community-based organizations


State Agencies


Human Services


Economic Development


Vocational Rehabilitation


State DOL


Corrections/Juvenile Justice


Mental Health


Intellectual/DD


Other Stakeholders/Services


Medicaid


Social Security/Ticket to Work Employment Networks


Transportation


Housing


Registered apprenticeship programs


Asset development entities


Carl D. Perkins Act providers


Career and Technical Education (CTE) providers




Thank you for completing the [OPC/UPEP] pre-interview checklist!

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